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Naplex 2025 > Weight Loss > Flashcards

Weight Loss Flashcards

1
Q

What BMI is classifed as being overweight or obese?

A
  • Overweight: BMI 25 - 29.9
  • Obese: BMI > 30
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2
Q

What drugs can cause weight gain?

A
  • Antipsychotics
  • Diabetes Drugs [insulin, sulfons, meglits, thiaz]
  • Divalproex
  • Gabapentin
  • Lithium
  • Mirtazapine
  • TCAs
  • Steroids

Hypothyroidism can

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3
Q

What is the treatment prinicple for weight loss?

A
  • Eat a reduced-calorie meal an > 150 minutes per week of physical activity 3 - 5 different days
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4
Q

What are some OTC medications that can help with wieght loss?

A
  • Bitter Orange
  • Excessive amounts of Caffeine [Guarana, Green Tea Powder]
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5
Q

What are some of the requirements some should have to be able to get a prescription for weight loss?

A
  • BMI > 30 or
  • BMI > 27 with one wieght related issue [Dyslipidemia, HTN, Diabetes]
  • NOT appropriate for those loosing small amounts of weight
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6
Q

When should a weight loss medication be Discontinued?

A
  • If they do not produce 5% weight loss at 12 weeks
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7
Q

What are some drugs that can cause weight loss?

A
  • ADHD Drugs
  • Burpropion
  • GLP-1 Agonist
  • Pramlintide
  • Roflumilast
  • SGLT-2 inhibitors
  • Topiramate
  • Tizepatide

Hyperthyroidism, Celiad Disease, IBS

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8
Q

What is important to know about wieght loss medicatoins and pregnacy?

-

A
  • AVOID all
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9
Q

What is important to know about weight loss medications and Hypertension?

A
  • Avoid: Contrave and Stimulants
  • Caution: Qsymia

Contrave has bupropion
Stimulants [Phentermine] = contraindicated with uncontrolled HTN
Qsymia monitor HR

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10
Q

What is important to know about weight loss medications with Depression?

A
  • Caution in young adults [Contrave has increase suicidal risk]
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11
Q

What is important to know about weight loss medications and Seizures?

A
  • Avoid: Contrave [lowers thershold]
  • Caution: Qsymia [must taper slowly (contains Toperimate)]
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12
Q

What is important to know about Weight loss medications and taking opiods?

A
  • Avoid: Contrave [block opiods receptors (contains Naltrexone)]
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13
Q

What is the Brand Name for Phentermine/Topiramte?

A
  • Qsymia
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14
Q

What is the way that Qsymia works in the body?

A
  • Phentermine: Sympathomimetic (stimulant) that releases NE to decrease appetite
  • Topiramate: Increase satiety (feels fuller) and decreases appetite [affecting GABA?]
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15
Q

What are some of the contraindications for Qsymia?

A
  • Pregnancy [REMS]
  • Glaucoma
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16
Q

What are some of the side effects for Qsymia?

A
  • Tachycardia
  • Insomnia
  • Vision Problems
17
Q

What are some additional notes about Qsymia?

A
  • Be sure to Taper off dose [contains Topiramate] due to seizure risk

Naplex 2025 (57 decks)

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